| One Stop Wellness Md Llc | |
|
51 E Garwood Ave Williamstown NJ 08094 | |
| (800) 000-0000 | |
| Not Available |
| Full Name | One Stop Wellness Md Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 51 E Garwood Ave, Williamstown, New Jersey |
| Authorized Official Name and Position | Al Berry (CEO) |
| Authorized Official Contact | 3867039084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| One Stop Wellness Md Llc 320 Christiana Medical Ctr Newark DE 19702-1653 Ph: () - | One Stop Wellness Md Llc 51 E Garwood Ave Williamstown NJ 08094 Ph: (800) 000-0000 |
| NPI Number | 1467141622 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 1951768001 |
|---|---|
| Medicare Enrollment ID | O20230605001242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467141622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Aisha A Addison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831497601 PECOS PAC ID: 8224216189 Enrollment ID: I20181001001416 |
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